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Medical Records Technician (Coder-Outpatient)

Veterans Health Administration · Posted 2 days ago

RemoteUnited States$56K – $73KApply by May 29, 2026Medical Records TechnicianESFJESTJISFJISTJHealthcareTrades
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About the Role

This position is in the Health Information Management Service (HIMS) at the James J. Peters VA Medical Center. The Medical Records Technician (MRT) (Coder-Outpatient) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multispecialty clinics, and specialty centers.

What You'll Do

  • Total Rewards of a Allied Health Professional Temporarily eligible for Remote work within 50 miles of a VA Medical Center.
  • May fall under the Presidential Memorandum tiled "Return to In-Person Work" which will require you to go into the office if the exemption is not approved at the next review.
  • Duties may include but are not limited to: MRT GS-08 Assignment.
  • Outpatient MRTs (Coder) at this level perform the full scope of outpatient coding including ambulatory surgical cases, diagnostic studies and procedures, outpatient encounters, and/or inpatient professional services.
  • Outpatient duties consist of the performance of a comprehensive review of documentation within the health record to accurately assign ICD CM codes for diagnoses, CPT/HCPCS codes for surgeries, procedures and evaluation, and management services.
  • They independently review and abstract clinical data from the record for documentation of diagnoses and procedures to ensure it is adequate and appropriate to support the assigned codes.
  • They code all complicated and complex disease processes, 10 patient injuries, and all procedures in a wide range of ambulatory settings and specialties.
  • They also directly consult with the clinical staff for clarification of conflicting, incomplete, or ambiguous clinical data in the health record.
  • MRTs must abstract, assign, and sequence codes into encoder software to support medical necessity, resolve encoder edits, and ensure codes accurately reflect services rendered.
  • They also review provider health record documentation to ensure that it supports the diagnostic and procedural codes assigned and is consistent with required medical coding nomenclature.
  • They also query clinical staff with documentation requirements to support the coding process.
  • They enter and correct information that has been rejected, when necessary.
  • Work Schedule: Monday to Friday, 8:00am to 4:30pm EST Remote: The option for remote work will be assessed continuously, and the selected individual may need to return to a VA office if required.
  • The selectees must live within 50 miles of a VA Medical Center (NOTE: This does not include CBOCs).

Requirements

  • You must be a U.S.
  • Citizen to apply for this job.
  • Selective Service Registration is required for males born after 12/31/1959.
  • Must be proficient in written and spoken English.
  • Subject to background/security investigation.
  • Selected applicants will be required to complete an online onboarding process.
  • Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents).
  • Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
  • Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
  • Complete all application requirements detailed in the "Required Documents" section of this announcement.
  • As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest.
  • In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service.
  • Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.
  • Transcripts are not required but should be included with application materials if basing any of your qualifications on education.

Personality Fit

This role is commonly a great fit for these MBTI types:

Job ID: 633e7578-bad3-4b7a-b71f-0ee9ab7af275

Posted via USAJobs

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